KADEEM IMAN GLASGOW PA
NPI 1962197442
Physician Assistant in Bronx, NY

Q: What is Kadeem Glasgow's NPI number?

The NPI number for Kadeem Glasgow is 1962197442. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Kadeem Glasgow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kadeem Glasgow was last updated on April 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2023PECOS Enrolled

1250 WATERS PL, BRONX, NY 10461(800) 636-6683 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kadeem Iman Glasgow Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KADEEM IMAN GLASGOW PA (NPI 1962197442) is an individual physician assistant in Bronx, New York, licensed in New York (029847) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1962197442

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKADEEM IMAN GLASGOWCredential: PA

Location Address1250 WATERS PLBronx, NY 10461-2720

Mailing Address22115 Hempstead Ave Apt 2dQueens Village, NY 11429-2106 · (347) 451-9202

Phone(800) 636-6683

Sole ProprietorNo

Enumeration DateApril 10, 2023

Last NPPES UpdateApril 17, 2023

NPPES CertifiedApril 11, 2023

✔ NPI 1962197442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 029847

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 029847 (NY)

1250 WATERS PL, Bronx, NY 10461

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Secondary Practice Location 1

Location 1412 Evergeen AveBrooklyn, NY 11221 · Phone (718) 768-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kadeem Iman Glasgow Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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